Parent Institute
Registration

PLEASE READ:

Below is your Online Registration Form. Please read it carefully and do not hit "Submit" or go to another page until you are done. Please be sure to print the registration form , if you need a copy, before hitting "Submit" as no copy will be sent to you. We are looking forward to seeing everyone at the LAX Airport Marriott.

Please note that there is information that is "required" so if your form does not move to the "Thank You" page when you hit "Submit" then you have missed a Required item.

*Indicates Required Field

REGISTRATION INFORMATION:
First and Last Name:*

Repeat Last Name:*

Address:*

City:* State/Province:*

Zip Code or Routing Code:*Phone:
Email:*----------------

REFERRAL ORGANIZATION INFORMATION:Name of school or organization:*

Address:

Phone:
Email:

----------------

Lunch Choice:

Conference information :
Please select here if you require braille or large print Other accommodations
If you are attending the conference please be sure to go to the CTEBVI websiteto register for the full conference.----------------Questions or comments? Please enter them below. See you soon!
Vicki Garrett, Registrar and Website Administrator
ctebvi@gmail.com - 702-575-9913
Mailing Address: (if you want to print this form and mail in payment)
125 Sunrise Avenue SE
Ocean Shores, WA 98569

Payment/Scholarship: Scholarships do not include travel.

I have printed a copy of my registration - *

To bypass the registration form and go straight to the payment page Click Here